20160507 Ver 1_Buffer Determination Request_20160516

Pat McCrory
Governor
NCDENR
North Carolina De fl0;4ftnt and Natural Resources
MAY IS 201$
John E. Skvarla, III
Secretary
1Nater Ousllly Reglonal
Operations Section DWQ Use Only: Project #Veagton Regional Office
Stream Origin/Buffer Applicability Determination
Required Information
1. Owner Information (corporation/individual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed
Lane Farms Inc.
1b. Responsible Party (for LLC)
Mr. William Lane
1c. Mailing Address
2317 Salem Church Road, Goldsboro, NC 27350
1d. Telephone Number
919.734.1245
1e. Email Address
[e-mail]
2. Location of Project Site - please include the county, nearest named town and highway number:
Old Smithfield Road, Goldsboro, NC
3. Has anyone from DWQ visited the site?
Y / N
Staff Name
Neuse
Date of Visit?
Neuse
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
Brad Luckey, PEI
4b. Mailing address
PO Box 128 Kernersville, NC 27285
4c. Telephone no.
336.708.4997
4d. Email address
[e-mail]
5. Project and Site Information
5a. Name of project
Lane III Solar Farm
5b. County
Wayne
5c. Nearest Named Stream
Neuse
-5d. River Basin
Neuse
5e. Provide a brief description of this project (attach site plan if available):
Solar Farm
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey.
If you are unable to locate either of these maps, please contact the Regional Office for assistance.
DWQ Use Only: Is this stream call for the purpose of: _ buffer mitigation — nutrient offset credit
Please return form to: Anthony Scarbraugh
943 Washington Square Mall
Washington, NC 27889 Note: Submittals on Friday after 12:00 pm
will be stamped as received on the
Fax: [phone] next business day.
Email: anthonv.scarbrauch a4ncdenr.gov
Please contact Anthony Scarbraugh at [phone] if you have any questions.
Division of Water Resources - Water Quality Regional Operations Section - Washington Regional Office
943 Washington Square Mall, Washington, NC 27889
Phone: 252 -946 -Ml k Fax: 252-975,37161 Internet: www.ncdenr.gov
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